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INTEDEM-01 LWANG2
<br />lks. 0 CERTIFICATE OF LIABILITY INSURANCE
<br />`�
<br />DATE1812025
<br />3/18/2025
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsements .
<br />PRODUCER License # OC36861
<br />NQAITEACT LASpec Carts
<br />Los Angeles-Alliant Insurance Services, Inc.
<br />333 S Hope St Ste 3700
<br />Los Angeles, CA 90071
<br />PHONE FAX
<br />AM, No, Ext): (FM. AC
<br />No
<br />AA"bRIES, LASpecCerts@alliant.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC It
<br />INSURER A: Starr Surplus Lines Insurance Company
<br />13604
<br />INSURED
<br />INSURER B:Starr Indemnity & Liability Company
<br />38318
<br />INSURER C
<br />Integrated Demolition and Remediation, Inc.
<br />INSURER D
<br />421 E Cerritos Avenue
<br />Anaheim, CA 92805
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADOL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />X
<br />1000067641241
<br />5121/2024
<br />5121/2025
<br />EACH OCCURRENCE
<br />$ 3,000,000
<br />DAMAGE TO RENTED npa
<br />$ 100,000
<br />$ 25,000
<br />MED UP (Any one arson
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY YER8T LOC
<br />GENERAL AGGREGATE
<br />$ 6,000,000
<br />PRODUCTS - COMP/OP AGG
<br />31000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />E accident)
<br />11000,000
<br />X
<br />BODILY INJURY Perperson)
<br />ANY AUTO
<br />X
<br />X
<br />1000638121241
<br />5/21/2024
<br />512112025
<br />OWNED SCHEDULED
<br />AI�JgTOpoS ONLY AUOoTOS
<br />BODILY INJURY Per accident
<br />Pa acc "a AMAGE
<br />$
<br />AUTOS ONLY AUT090NLY
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />1000337817241
<br />512112024
<br />512112025
<br />AGGREGATE
<br />$ 10,000,000
<br />DED RETENTION$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIErORIPARTNER/EXECUVE
<br />Fp4FICEEMBI R EXCLUDED?
<br />tMandaRIMWrym NPFI
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />IUD 0004638
<br />512112024
<br />5/2112U25
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />ELL. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />ELL. DISEASE - POLICY LIMB
<br />7,000,000
<br />A
<br />Poll/Prof
<br />1000067641241
<br />5/2112024
<br />5/2112025
<br />Occ. $1,000,000; Agg
<br />21000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Re: Job #2025-060AD, City of Santa Ana On Cal Demo and Abatement Services
<br />The City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are Included as Additional Insured as respects Liability arising
<br />out of operations (work) performed by or on behalf of the Named Insured in accordance with the policy provisions of the General Liability and Automobile
<br />Liability policies. The General Liability evidenced herein is Primary and Non -Contributory to other insurance available to the Additional Insured, but only in
<br />accordance with the policy provisions. Waiver of Subrogation applies as required by contract in accordance with the policy provisions of the General Liability,
<br />Automobile Liability and Workers' Compensation policies.
<br />U° rr°"`d APPROVED
<br />CERTIFICATE HOLDER ire, CANCELLATION By Tu Tran Nguyen at 2:54 pmrMar-18, 2025-
<br />1955:IfidTW'
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Cityof SAna THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Santa ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attention: Planning and Building Agency
<br />20 Civic Center Plaza, M-19
<br />Santa Ana, CA 92701 AUTHORIZED/REPRESENTATIVE
<br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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